Clinic Lead APP

Winston Salem, NC

As the Clinic Lead APP, you will be responsible for providing on-site support for all clinic APPs, overseeing in-clinic psychiatric programs, and ensuring the highest standard of care and service delivery.  The role requires a minimum of 3 years of experience as a PA-C or PMHNP.  The role involves leading a team of dedicated APPs, collaborating with the Clinic Director for provider support, and fostering a culture of excellence.

ABM Culture

Reports to: Senior Director of Medical Services, Division President, or CMO

Direct reports:

APPs - Clinical & Admin.  Personnel (Shared oversight with the Clinic Director)

Collaborates with: Clinic Director and Provider Support Manager


LEADERSHIP – Approximately 2-3% percent of the role.

  • Clinical Leadership: Provides clinical leadership and guidance to a team of APPs, ensuring the delivery of evidence-based clinical interventions.

  • Key contact and escalation for APPs: As coordinated/standardized with the Executive Leadership Team, educates APPs on whom to go to for what (including clinical and non-clinical issues including help desk/service desk), and escalation guidelines for when needed.

  • Staffing & Utilization: Takes direction from the Director of Medical Services or Division President to address compliance for clinician starts, total visits, and total utilization.  Monitors individual provider scheduling and availability.  Collaborates with the Clinic Director to ensure provider schedule optimization.

  • Clinician Hiring, Onboarding, Training, and Productivity: Support clinician recruiting (hiring needs and interviewing) and onboarding. Support new clinicians.

  • Client Care: Oversees the clinical care of clients, including assessments, treatment planning, and therapeutic interventions, while maintaining a caseload as appropriate.

  • Clinical Expertise: Offers clinical expertise to APP clinicians to enhance patient care.

  • Clinical Standards and Policies: Implements and adheres to national clinical policies through local procedures/workflows; evaluates national policy against local/state regulations and escalates to National team for exception (includes collaboration w/CMO org on input for national procedures and regional implementation of finalized regional procedures ensuring compliance with Federal and State regulations, payor requirements (as understood via payor contract visibility), community practice standards and professional ethics.

  • Quality Control, Risk Management, and Compliance: Conducts chart record reviews (at frequency set by CMO/Compliance) and provides coaching and education, as needed; Investigates adverse clinical events; Prompts investigation and resolution to manage patient complaints regarding clinical/clinician issues (excludes billing or financial complaints); Analyzes and identifies medical issues/risk and takes prompt measures toward rectification; flags and escalates potential legal issues.

  • Clinician training: trains clinicians on updates to coding and compliance standards

  • Compliance: Ensures compliance with all applicable legal, ethical, and industry-specific standards, including HIPAA and state licensing requirements.

  • Performance Management: Provides specific management and oversight of APPs, inclusive of personnel actions.  In conjunction with CMO, monitors performance benchmarks and metrics for APP clinicians, conduct regular performance reviews, and take appropriate actions to improve clinical competency. 

  • Peer Consultation: Lead weekly or as needed peer consultation forum of patient cases (Consult Lunches) to solicit input, support, and/or share learnings

  • Coverage: Assists in coordinating coverage when a clinician is out for unexpected, extended absences—e.g., maternity leave, departures, sick.

  • Clinician Issue - Resolution & retention: communicates weekly with Clinic Director to flag issues related to clinical operations. Touch base regularly with strong performers to solicit feedback, mentor, and engage (e.g., educate on career progression paths)

  • Clinical Support back-up: Daytime on-call back-up for unavailable providers, including crisis calls


CLINICAL DELIVERY – Approximately 97-98% percent of the role.

  • Caseload: Maintains a caseload in accordance with available non-admin time


  • Provides direct clinic care to patients

  • Serves as the in-clinic key contact for clinical topics

  • Collaborates with the Clinic Director to lead APP providers.  Is responsible for APP personnel issues

  • Monitors and enforces APP clinician performance


  • Meet with APP clinicians to review policy and regulatory changes, review practice updates, and solicit clinician feedback

  • Reports key performance metrics to the leadership team

  • Lead monthly or ad-hoc clinical case discussions

As Needed

  • Policy implementation, quality control, training, and issue resolution


  • Current and unrestricted state licensure as an PA-C or PMHNP-BC in North Carolina

  • Advanced Practice Registered Nurse with 3+ years of clinical and leadership experience.

  • Current, unrestricted state license, active DEA registration, and applicable board certification.

  • Familiarity with the Principles of Medical Ethics of the American Medical Association and the Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry.

  • Ability to lead, supervise and collaborate cross-functionally.

  • Ability to work independently and as a team member.

  • Ability to provide formative feedback.

  • Extremely strong clinical skills and knowledge of licensure requirements.

  • Significant problem-solving capability.

  • Strong communication skills, both written and verbal.

  • Excellent time management skills.

  • Attention to detail.

  • Self-motivated and able to adapt to changes.

  • Commitment to Apogee’s Mission & Vision of Making Each Day Better.